Organization
THE EMORY CLINIC, INC
Active
Other names
Emory Orthopaedic & Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MASON (OPERATIONS ADMINISTRATOR)
(404) 778-5639
Entity
Organization
Contact information
Practice address
59 EXECUTIVE PARK S, ATLANTA, GA 30329-2208
(404) 778-7000
Mailing address
101 W PONCE DE LEON AVE, SUITE 300, DECATUR, GA 30030-2542
(404) 778-5034
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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